1396706156 NPI number — DR. CHARLES HUBERT HUTCHINS MD

Table of content: HUMA N RASHEED MD (NPI 1841724705)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396706156 NPI number — DR. CHARLES HUBERT HUTCHINS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUTCHINS
Provider First Name:
CHARLES
Provider Middle Name:
HUBERT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396706156
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
750 COX RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GASTONIA
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28054-3481
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-867-7212
Provider Business Mailing Address Fax Number:
704-867-7655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 COX RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GASTONIA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28054-3481
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-867-7212
Provider Business Practice Location Address Fax Number:
704-867-7655
Provider Enumeration Date:
03/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 204D00000X , with the licence number:  17069 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207YS0123X , with the licence number: 17069 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8945146 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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